Professional, Configuration Analyst
Status: Full-time, Exempt
The Configuration Analyst develops and implements configuration into the Facets system to accommodate systematic adjudication rules and benefit plan requirements. Responsible for the interpretation of requests, development of solutions and creation of configuration to support efficient and accurate claim adjudication. Performs system testing and utilizes quality assurance methods to validate accurate system configuration. Performs post implementation review and analysis. Participates in the development and implementation of strategies required for Corporate and Department projects. Responsible for the accurate and timely configuration of benefit plan designs, authorization rules, and Work Flow Overrides, in Facets. Investigates and addresses system gaps including the design and implementation of solutions as necessary. Prepares detailed analyses and reports for internal customers when necessary. Maintains detailed documentation related to work assignments to support audit processes. Develops and maintains relational databases used to facilitate configuration implementation and testing. Creates test plans, test case scenarios and detailed test scripts as necessary. Identifies and communicates configuration defects. Creates claim reports related to work assignments that will be sent to Operations for reprocessing. Collaborates with internal customers to define configuration requirements. Responsible for timely investigation and resolution of claim review inquiries from internal customers. Assists in supporting the work necessary to complete Corporate and Departmental projects related to MCS activities. Represents the department on committees and project teams. Performs other duties as assigned.
Bachelors of Science in Computer Science, Healthcare Administration, Business Management or other related field or equivalent experience in a health care organization.
Experience utilizing query tools to extract data from relational databases.
• Exceptional skills in critical thinking and problem solving.
• Ability to manage multiple assignments with a high level of autonomy and independence.
• Demonstrated skills in Microsoft Excel and Access.
• Strong analytical ability.
• Excellent organizational and communication skills.
• Configuration experience strongly preferred.
- Job Family Claims/Operations
- Pay Type Salary
- Headquarters Office, 625 State Street, Schenectady, New York, United States of America
- Rochester Office, 220 Alexander Street, Rochester, New York, United States of America